Deck 32: Degenerative Diseases of the Central Nervous System: Understanding and Management

Question 1

An OTA is working with a client diagnosed with Parkinson's disease. Which intervention would be most beneficial to a client who is in the mild stage of the disease?

A) Zipper pull to grasp a small zipper
B) Sitting while donning pants
C) Training on transfers and ambulation
D) Referral to a wheelchair seating clinic

Answer 1

Sitting while donning pants

Question 2

An OTA is doing an initial interview with a client diagnosed with dementia. When speaking with the client and caregiver, information is revealed that the client has forgotten several appointments, including the current therapy appointment, and is requiring cueing from family members. The client also has been misplacing her glasses and dentures. Which level on the Global Deterioration Scale would she be functioning at?

A) Stage 3
B) Stage 2
C) Stage 4
D) Stage 5

Answer 2

Stage 3

Question 3

A client diagnosed with ALS has to decide whether to utilize a tracheostomy and mechanical ventilation to assist with breathing issues. The client may need to be placed in a skilled nursing facility because his spouse is working and they cannot afford 24-hour in-home care. What should be taken into consideration when making this decision?

A) That the client would receive proper medical support only in a facility
B) That the client might be placed in a facility far from home
C) Whether the caregiver's work will let her take temporary family medical leave
D) That once he gets the tracheostomy, the disease progression stops

Answer 3

That the client might be placed in a facility far from home

Question 4

An OTA is working with a client diagnosed after a flare-up of a progressive degenerative disease of the central nervous system. This client is experiencing fatigue in her upper and lower extremities and is experiencing depression because she is very sensitive to heat and is no longer able to participate in her beloved hobby of gardening. What condition is this individual most likely diagnosed with?

A) Parkinson's disease
B) ALS
C) Multiple sclerosis
D) Huntington's disease

Question 5

An OTA is working with a client diagnosed with Huntington's disease. Which interventions would be most meaningful to a client who is in the mid-stage of the disease?

A) Education on bed position for management of contractures
B) Making lists for ADLs and pairing matching clothing for dressing
C) Reducing outside stimuli at the workplace to increase concentration
D) Padding the hospital bed rails to protect the skin

Question 6

An OTA is meeting with a support group for caregivers of individuals with progressive diseases. What should the OTA include in her presentation to help the caregivers support their loved ones?

A) Proper body mechanics and adaptive equipment for various stages and needs
B) Specific coverage of equipment by insurance
C) Activities that can include exercise and movement
D) How to receive respite from family members

Question 7

An OT practitioner is working with a client diagnosed with ALS at the outpatient ALS clinic. The client is currently walking with a cane but is transitioning to use of a rollator walker for balance needs. What should the OT practitioner discuss with the client about future progression of the disease as it affects occupations?

A) Power wheelchair mobility
B) Strengthening exercises
C) Caregiver training for PROM
D) Applying for disability benefits

Question 8

When working with individuals who would be classified as Level 4 on the Allen cognitive levels, what should the OTA take into consideration regarding therapy?

A) They may become agitated or wander.
B) New information may need to be written down.
C) The OTA should approach the clients from the front.
D) This is the last time to introduce a novel assistive device.

Question 9

An OTA is working with a client diagnosed with multiple sclerosis. The client is complaining of lower extremity stiffness in the morning that makes it difficult to complete ADL tasks. What type of equipment should the OTA recommend to this client?

A) Rollator walker
B) Long-handled brush to manage hair
C) Reacher and dressing stick to assist with dressing
D) Power wheelchair

Question 10

An OTA is working with a client who is experiencing changes in personality, including disinhibition and anger. This client currently requires a very structured daily routine due to impaired insight and memory. In addition, this client is demonstrating motor impairments, including chorea, ataxia, and poor balance. What disorder is this individual most likely diagnosed with?

A) Huntington's disease
B) Dementia
C) Parkinson's disease
D) ALS